Form Rac - Statement Of Change Of Registered Office Or Registered Agent Or Both - 2009 Page 2
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1
2FILING INSTRUCTIONS
STATEMENT OF CHANGE OF REGISTERED OFFICE, REGISTERED AGENT OR BOTH
NAME
Use the exact name of the business entity as registered on file with the Office of the Secretary of State.
REGISTERED OFFICE AND REGISTERED AGENT
The registered office of the limited partnership must be in Kentucky and maintain street address or other specific location
(Highway, Rural Route, Building etc.) A post office box is insufficient for the registered office address. The registered
agent shall be an individual resident of this Commonwealth, a Kentucky corporation, a Kentucky nonprofit corporation, a
Kentucky limited liability company, a foreign corporation, a foreign nonprofit corporation, a foreign limited liability
authorized to transact business in Kentucky. The company seeking formation shall not act as its own registered agent.
The registered agents address must be identical with the registered office.
CONSENT OF REGISTERED AGENT
The registered agent must give written consent to act as agent on behalf of the business entity. If the registered agent is
a corporation an officer or the chairman of the board of directors must sign on behalf of the corporation. If the registered
agent is a limited liability company and management of the company is vested in one or more managers, a manager
must sign on behalf of the limited liability company. If management of the company is vested in its members, a member
must sign. The person signing on behalf of the business entity acting as agent must designate the title or capacity in
which he or she signs.
DOCUMENT DELIVERY
All documents will be sent to the return address on the outer envelope. If no address is found, the documents will be sent
to the principal office. If the applicant wishes for correspondence from the Office of the Secretary of State to be sent to
someone other than those above, a request must be submitted in writing affirming that request. All other communication
and notification shall follow the process prescribed in Kentucky Revised Statute.
WHO MAY SIGN
The document must be signed by an officer, chairman of the board, member, manager or a partner.
NUMBER OF COPIES
When filing online with the FastTrack system, no copies are required. If filing via mail or in person, one exact copy of the
document with the filing fee must be submitted to the address below. To make a copy of the filing for delivery to the local
county clerk’s office, visit and print a copy from the organization search tool.
FILING FEE
The filing fee for this document is $10.00 for profit corporations, limited liability companies, limited partnerships, and
limited liability partnerships and $5.00 for non-profit corporations. Checks should be made payable to the "Kentucky
State Treasurer."
MAILING ADDRESS
OFFICE LOCATION
Trey Grayson
Room 154, Capitol Building
Office of the Secretary of State
700 Capital Avenue
P. O. Box 718
Frankfort, KY 40601
Frankfort, KY 40602-0718
Hours of Operation: 8:00 AM-4:30 PM ET
CONTACT INFORMATION
If you have any questions, please feel free to visit our website at or call 502-564-3490.
(09/09)
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